| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90832 |
Psychotherapy, 30 minutes with patient |
1,658 |
1,608 |
$230K |
| 90791 |
Psychiatric diagnostic evaluation |
361 |
361 |
$107K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,690 |
2,449 |
$66K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,691 |
2,652 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,691 |
3,432 |
$38K |
| G0315 |
Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) |
821 |
815 |
$25K |
| 99188 |
|
845 |
841 |
$23K |
| 92587 |
|
1,381 |
1,337 |
$22K |
| 96127 |
|
1,540 |
1,519 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,307 |
1,275 |
$13K |
| G0312 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) |
352 |
348 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
516 |
496 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,566 |
2,059 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
207 |
206 |
$6K |
| 81002 |
|
1,502 |
1,490 |
$5K |
| 90480 |
|
72 |
72 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
600 |
599 |
$3K |
| 99177 |
|
471 |
468 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
557 |
552 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
81 |
76 |
$989.65 |
| 94664 |
|
50 |
42 |
$712.24 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
354 |
353 |
$636.23 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
43 |
42 |
$630.56 |
| 92567 |
|
35 |
32 |
$430.19 |
| 90686 |
|
315 |
302 |
$322.00 |
| 90656 |
|
300 |
294 |
$229.97 |
| 90461 |
|
12 |
12 |
$175.50 |
| 94760 |
|
92 |
84 |
$152.97 |
| 88740 |
|
12 |
12 |
$65.84 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
44 |
43 |
$34.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
48 |
$20.45 |
| 96160 |
|
29 |
29 |
$16.61 |
| 90698 |
|
25 |
25 |
$0.00 |
| 90677 |
|
185 |
183 |
$0.00 |
| 90680 |
|
28 |
28 |
$0.00 |
| 91319 |
|
12 |
12 |
$0.00 |
| 99072 |
|
811 |
626 |
$0.00 |
| 90700 |
|
42 |
42 |
$0.00 |
| 99499 |
|
14 |
13 |
$0.00 |
| 90633 |
|
26 |
26 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
15 |
12 |
$0.00 |